Prior Authorization Consultant

Vector Outsourcing Solutions Philippines

Prior Authorization Consultant handling authorization requests via EHR and phone in a remote setup. Ensuring timely processing of medical records and correspondence with insurance companies and patients.

Posted 4/30/2026full-timeRemote • 🇵🇭 PhilippinesJunior💰 ₱30,000 - ₱35,000 per monthWebsite

About the role

Key responsibilities & impact

Receive requests for prior authorizations using the Scheduling module of the Electronic Health Record (EHR) and/or via phone or fax and ensure that they are closely monitored.
Process referrals and submit medical records to insurance carriers to expedite prior authorization processes.
Review the patient's medical history and insurance coverage for approval.
Manage correspondence with insurance companies, physicians, specialists, and patients as needed, including documenting in the EHR as appropriate.
Assist with the necessary documentation to expedite approvals and ensure that appropriate follow-up is performed.
Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.

Requirements

What you’ll need

Graduate of Bachelor's Degree (preferably in Medical, but not required)
Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
At least 1 year of background with Prior Authorization under a BPO healthcare account is an advantage
Must have excellent English communication skills, both written and oral
Ability to prioritize and organize multiple tasks
Willing to work in shifting schedules, mostly night shift

Benefits

Comp & perks

Equipment/ company computer is provided

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

prior authorizationmedical records processingEHRinsurance claims management

Soft Skills

communication skillsorganizational skillsprioritizationmultitasking

Certifications

Bachelor's Degree